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General NPI Number Information
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NPI Number | 1184911356
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Entity Type | Individual
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Provider Name | MATTHEW DAVID HUK M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/07/2011
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Last Update Date | 03/07/2024
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Provider Practice Location Address
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Address Line | 1051 JOHNSTON WILLIS DR STE 200
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City | NORTH CHESTERFIELD
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State | VA
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Zip | 23235-4871
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Country | US
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Telephone | 804-320-2705
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Fax | 804-330-2433
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Provider Business Mailing Address
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Address Line | PO BOX 402924
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City | ATLANTA
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State | GA
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Zip | 30384-2924
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Country | US
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Telephone | 804-320-2705
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Fax | 804-330-2433
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 0101272518
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License Number State | VA
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